Wash. Admin. Code § 182-551-1850

Current through Register Vol. 24-12, June 15, 2024
Section 182-551-1850 - Pediatric palliative care (PPC) case management/coordination services-Rates methodology
(1) The medicaid agency determines the reimbursement rate for a pediatric palliative care (PPC) contact described in WAC 182-551-1820 using the average of statewide metropolitan statistical area (MSA) home health care rates for skilled nursing, physical therapy, speech language therapy and occupational therapy.
(2) The medicaid agency makes adjustments to the reimbursement rate for PPC contacts when the legislature grants a vendor rate change. New rates become effective as directed by the legislature and are effective until the next rate change.
(3) The reimbursement rate for authorized out-of-state PPC services is the same as the in-state non-MSA rate.

Wash. Admin. Code § 182-551-1850

Amended by WSR 16-03-035, Filed 1/12/2016, effective 2/12/2016

11-14-075, recodified as § 182-551-1850, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.520. 05-18-033, § 388-551-1850, filed 8/30/05, effective 10/1/05.